Individual provider Active NPI

Karan Williams Kelly, P.T.

  • Physical Therapist
  • Grand Prairie, TX
National Provider Identifier
1871655340
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1044147 Issued in TX
Practice address
3055 Bardin Rd Ste 200
Grand Prairie, TX 75052
Phone
(972) 522-2200
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1044147 TX Primary

Addresses

Primary practice location

3055 Bardin Rd Ste 200
Grand Prairie, TX 75052

Mailing address

3055 Bardin Rd Ste 200
Grand Prairie, TX 75052-3819
Phone (972) 522-2200

Other practice location 1

6311 Southwest Blvd
Benbrook, TX 76132-1063
Phone (817) 731-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1044147TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Physical Therapy Services, PC Physical Therapist PastSince Apr 26, 2021 Accepting new patients
Prohealth Physical Therapist Past Accepting new patients
Primary Health Physicians, PLLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1871655340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 BARDIN RD STE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523819",
            "telephone_number": "972-522-2200",
            "fax_number": "972-522-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 BARDIN RD STE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "972-522-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6311 Southwest Blvd",
            "address_purpose": "LOCATION",
            "city": "Benbrook",
            "state": "TX",
            "postal_code": "761321063",
            "country_code": "US",
            "telephone_number": "817-731-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KARAN",
        "middle_name": "WILLIAMS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1044147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.